Green Card Claims Specialist Jobs
Claims Specialist roles at U.S. insurance carriers, third-party administrators, and managed care organizations regularly qualify for EB-2 and EB-3 green card sponsorship through PERM labor certification. Employers file on behalf of foreign professionals, documenting that the role requires specialized analytical skills no qualified U.S. worker filled. Sponsorship leads to permanent residency, not a temporary status.
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Get Access To All JobsManager I BPM - Claims Operations (FACETS) Lead
Location: Bellevue WA Hybrid
Location: United States - Seattle, Washington (No Remote)
Employment Type: Full-Time
Experience: 10+ Years
Open Positions: 1
Key Responsibilities
- Lead the end-to-end transition and operational delivery of FACETS Claims Operations, ensuring successful knowledge acquisition, operational readiness, stabilization, and seamless transition to steady-state support.
- Act as the primary client-facing lead and trusted advisor for Claims Operations, managing executive stakeholder relationships, governance forums, risk reviews, and operational decision-making.
- Partner with client SMEs and business leaders to assess current-state operations, define future-state operating models, and establish service delivery frameworks.
- Drive transition planning, knowledge transfer execution, readiness assessments, and operational acceptance activities to ensure a successful handoff to delivery teams.
- Oversee FACETS claims adjudication operations, ensuring adherence to productivity, quality, accuracy, turnaround time, and SLA commitments.
- Establish governance processes, performance metrics, reporting dashboards, and controls to monitor operational performance and deliver continuous visibility to stakeholders.
- Identify operational risks, process gaps, dependencies, and improvement opportunities, implementing mitigation plans and corrective actions to ensure delivery stability.
- Collaborate with cross-functional teams including Enrollment, Provider Operations, Configuration, Application Support, and Technology teams to drive end-to-end process effectiveness.
- Lead continuous improvement, automation, and transformation initiatives to enhance operational efficiency, quality, customer experience, and business outcomes.
- Provide leadership, coaching, and direction to onshore and offshore operations teams, fostering a culture of accountability, collaboration, and operational excellence.
- Support workforce planning, capacity management, forecasting, and resource optimization to align with client demand and business objectives.
- Ensure compliance with healthcare payer regulations, client policies, audit requirements, and operational governance standards.
- Lead Healthcare BPM delivery and operations management, ensuring SLA adherence, productivity targets, quality performance, operational governance, and continuous process improvement.
- Drive BPM transformation initiatives, process standardization, automation opportunities, operational excellence programs, and service delivery optimization across healthcare payer operations.
- Manage Healthcare BPM/BPO delivery teams, stakeholder governance, performance management, and operational reviews to achieve business outcomes and customer satisfaction goals.
Required Qualifications
- 10+ years of Healthcare Payer Operations and BPM/BPO Operations experience with deep expertise in FACETS Claims Processing and Adjudication.
- Proven experience leading large-scale transition, transformation, and managed services engagements.
- Strong understanding of Commercial, Medicare, Medicaid, and Government Programs claims operations.
- Demonstrated success managing client relationships, operational governance, service delivery, and cross-functional teams.
- Experience managing large-scale onsite/offshore BPM delivery teams.
- Strong knowledge of SLA management, productivity management, operational governance, workforce management, and continuous improvement methodologies.
- Excellent communication, stakeholder management, and leadership skills.
Preferred Qualifications
- Experience leading Healthcare BPM transformation programs.
- Exposure to Lean Six Sigma, Process Excellence, Automation, and AI-enabled operational transformation initiatives.
- Knowledge of FACETS and Healthcare Payer operational workflows across Claims, Enrollment, Provider, Billing, and Configuration functions.
Success Measures
- SLA/KPI Compliance
Manager I BPM - Claims Operations (FACETS) Lead
Location: Bellevue WA Hybrid
Location: United States - Seattle, Washington (No Remote)
Employment Type: Full-Time
Experience: 10+ Years
Open Positions: 1
Key Responsibilities
- Lead the end-to-end transition and operational delivery of FACETS Claims Operations, ensuring successful knowledge acquisition, operational readiness, stabilization, and seamless transition to steady-state support.
- Act as the primary client-facing lead and trusted advisor for Claims Operations, managing executive stakeholder relationships, governance forums, risk reviews, and operational decision-making.
- Partner with client SMEs and business leaders to assess current-state operations, define future-state operating models, and establish service delivery frameworks.
- Drive transition planning, knowledge transfer execution, readiness assessments, and operational acceptance activities to ensure a successful handoff to delivery teams.
- Oversee FACETS claims adjudication operations, ensuring adherence to productivity, quality, accuracy, turnaround time, and SLA commitments.
- Establish governance processes, performance metrics, reporting dashboards, and controls to monitor operational performance and deliver continuous visibility to stakeholders.
- Identify operational risks, process gaps, dependencies, and improvement opportunities, implementing mitigation plans and corrective actions to ensure delivery stability.
- Collaborate with cross-functional teams including Enrollment, Provider Operations, Configuration, Application Support, and Technology teams to drive end-to-end process effectiveness.
- Lead continuous improvement, automation, and transformation initiatives to enhance operational efficiency, quality, customer experience, and business outcomes.
- Provide leadership, coaching, and direction to onshore and offshore operations teams, fostering a culture of accountability, collaboration, and operational excellence.
- Support workforce planning, capacity management, forecasting, and resource optimization to align with client demand and business objectives.
- Ensure compliance with healthcare payer regulations, client policies, audit requirements, and operational governance standards.
- Lead Healthcare BPM delivery and operations management, ensuring SLA adherence, productivity targets, quality performance, operational governance, and continuous process improvement.
- Drive BPM transformation initiatives, process standardization, automation opportunities, operational excellence programs, and service delivery optimization across healthcare payer operations.
- Manage Healthcare BPM/BPO delivery teams, stakeholder governance, performance management, and operational reviews to achieve business outcomes and customer satisfaction goals.
Required Qualifications
- 10+ years of Healthcare Payer Operations and BPM/BPO Operations experience with deep expertise in FACETS Claims Processing and Adjudication.
- Proven experience leading large-scale transition, transformation, and managed services engagements.
- Strong understanding of Commercial, Medicare, Medicaid, and Government Programs claims operations.
- Demonstrated success managing client relationships, operational governance, service delivery, and cross-functional teams.
- Experience managing large-scale onsite/offshore BPM delivery teams.
- Strong knowledge of SLA management, productivity management, operational governance, workforce management, and continuous improvement methodologies.
- Excellent communication, stakeholder management, and leadership skills.
Preferred Qualifications
- Experience leading Healthcare BPM transformation programs.
- Exposure to Lean Six Sigma, Process Excellence, Automation, and AI-enabled operational transformation initiatives.
- Knowledge of FACETS and Healthcare Payer operational workflows across Claims, Enrollment, Provider, Billing, and Configuration functions.
Success Measures
- SLA/KPI Compliance
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Get Access To All JobsTips for Finding Green Card Sponsorship as a Claims Specialist
Match your credentials to the right EB tier
EB-3 covers Claims Specialists with a bachelor's degree; EB-2 applies when the role genuinely requires an advanced degree or equivalent specialized expertise. Review the employer's job requirements carefully before accepting an offer, since the posted minimum education shapes which petition your employer files.
Translate foreign insurance credentials for U.S. employers
Designations like ANZIIF, CII, or provincial adjusting licenses don't map directly onto U.S. licensing frameworks. Get a credential evaluation from a NACES-member organization and ask your employer to reference it explicitly in the PERM job description to support the specialty occupation argument.
Target carriers with active PERM filing history
Carriers, TPAs, and managed care organizations that have filed PERM applications for Claims Specialists before have established internal legal workflows. Search OFLC PERM disclosure data by SOC code 43-9041 to identify employers who have sponsored this specific role rather than guessing at sponsorship willingness.
Use Migrate Mate to filter for green card sponsoring employers
Search Migrate Mate by job title and filter for employers with verified EB-2 or EB-3 sponsorship history. This surfaces Claims Specialist openings at organizations that have already cleared the PERM process for similar roles, cutting out the guesswork when evaluating job listings.
Clarify the PERM timeline before signing your offer
PERM labor certification typically takes six to twelve months at DOL before the I-140 petition stage begins. Ask the hiring manager whether the company starts PERM immediately on your start date or waits for a probationary period, since delays compound priority date backlogs for oversubscribed countries.
Verify prevailing wage compliance at the job description stage
DOL denies PERM applications when the offered wage falls below the prevailing wage for the role and location. Cross-check the salary in your offer letter against the OFLC Wage Search for SOC code 43-9041 before signing, so you can flag any gap while the employer can still revise the filing.
Green Card Claims Specialist: Frequently Asked Questions
Do Claims Specialist roles actually qualify for EB-2 or EB-3 green card sponsorship?
Yes. Claims Specialist positions at insurance carriers, third-party administrators, and managed care organizations regularly qualify under EB-3 for roles requiring a bachelor's degree, and under EB-2 when the position genuinely requires an advanced degree or equivalent specialized expertise. USCIS evaluates the specific job duties and minimum requirements your employer documents in the PERM filing, not just the job title.
How does green card sponsorship through PERM differ from H-1B sponsorship for this role?
PERM targets permanent residency rather than a temporary status, and EB-3 has no annual lottery like the H-1B visa does. The process is longer: DOL labor certification typically takes six to twelve months, followed by an I-140 petition and then adjustment of status or consular processing. The payoff is lawful permanent residency, with no recurring renewal cycles and no lottery risk each spring.
What documentation should I prepare before a Claims Specialist employer agrees to sponsor me?
Pull together your academic transcripts, degree certificates, any foreign insurance designations with a NACES credential evaluation, and a detailed employment history showing claims analysis or adjusting experience. Employers need this documentation to draft an accurate PERM job description and to demonstrate to DOL that your qualifications match the requirements listed in the labor certification filing.
How can I find Claims Specialist jobs where the employer will sponsor a green card?
Migrate Mate lets you filter Claims Specialist openings by employers with verified EB-2 or EB-3 sponsorship history, so you're not cold-applying to companies that have never cleared the PERM process. You can narrow results by location and tier to focus on carriers and administrators already set up to sponsor foreign professionals in this role.
What happens to my green card case if I change employers during the PERM process?
Changing employers before your I-140 is approved means the PERM filing is abandoned and your new employer must start over. Once your I-140 is approved and your priority date is more than 180 days old, portability rules under AC21 may let you transfer the petition to a new employer in a same or similar Claims Specialist role without losing your place in the backlog.